Aleitamento materno exclusivo e saúde mental materna de mulheres afrodescendentes: estudo de base populacional

Abstract

Objectives: To investigate the prevalence of exclusive breastfeeding (EBF) and whether the common mental disorder (CMD) promotes its early interruption (EI-EBF4). Methods: cross-sectional study involving all children <24 months (n = 252) residing in 50% (n = 34) of quilombola communities in Alagoas. EI-EBF4 was defined when EBF was ≤ 4 months.The Self-Reporting Questionnaire was used to identify the CMD. Other predictors were obtained through interviews. The measure of association was the prevalence ratio calculated by Poisson regression, following a hierarchical theoretical model. The prevalence of EBF for 6 and 4 months, and its median duration (survival analysis) were calculated. Results: the prevalence of EI-EBF4 and CMD was 57.6% and 42.9%, respectively. The risk factors independently associated with EI-EBF4 were: living in a mud house, maternal age ≤18 years, low birth weight and use of a pacifier or bottle. There was no association with CMD. The prevalence of EBF for four and six months was 42.4% and 25.4%, in that order, and the median duration was 90 days. Conclusion: EBF indicators are below the established recommendations, justifying the implementation of measures that prioritize women subjected to the risk factors identified here. CMD is not configured among these.